Provider Demographics
NPI:1538385257
Name:COMPREHENSIVE MEDICAL SERVICES P.C.
Entity type:Organization
Organization Name:COMPREHENSIVE MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-299-4345
Mailing Address - Street 1:971 HUNTCLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3686
Mailing Address - Country:US
Mailing Address - Phone:248-299-4345
Mailing Address - Fax:248-299-1288
Practice Address - Street 1:971 HUNT CLUB BLVD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3686
Practice Address - Country:US
Practice Address - Phone:248-299-4345
Practice Address - Fax:248-299-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0636462OtherBCBSM
0M54010Medicare PIN
0636462OtherBCBSM